FEE Basis Physician (Interventional Nephrologist)

Summary

The Lexington, KY VAMC is currently seeking a Fee Basis Physician (Interventional Nephrologist). The incumbent will be responsible for maintaining and improving systems of health care by participating in programs, following policies, improving utilization of resources and suggesting process changes for clinical programs in the Specialty Care Section.

NOTE: The utilization of the Fee Basis appointments are focused on the service to be provided rather than on a specified tour of duty.

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Duties

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Duties may include but are not limited to:

• Clinical practice, supervising and teaching Nephrology fellows, residents, and medical students.
• The physician is responsible for providing consultation on various forms of nephrology disease states, both for diagnosis and treatment in the inpatient and outpatient settings.
• The physician is expected to share attending call responsibilities with other Nephrologists in covering some nights, weekends, and holiday calls as needed. The physician will round with the team of fellow(s), resident(s), and medical student(s) as regards inpatient settings.
• The Nephrology Physician (MD/DO) is administratively responsible to the Chief of Medicine. Clinical oversight is provided by the collaborating physician, Section Chief, Nephrology. The physician, as a member of the department, communicates with other healthcare providers to manage consults and additional services as required.
• Clinical activities may include but are not limited to, clinical assessment and evaluation - Inpatients and Outpatients. Health care management of assigned veteran patients with acute and chronic illnesses. Ordering and interpreting laboratory and diagnostic studies. Ordering consultation and referrals - Inpatients and Outpatients. Patient follow-up, as appropriate. Health promotion and disease prevention. Patient, family, and staff education and counseling. Clinical research (must have separate research approval).
• Administrative activities, including performance improvement activities, research, and non-clinical tasks as assigned. Exhibits leadership in initializing changes in patient care programs based on current concepts and findings from research and studies. Stays informed on developments in the management and treatment of diseases and illness through continuing medical education.
  VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
  Pay: Competitive salary, annual performance bonus, regular salary increases
  Licensure: 1 full and unrestricted license from any US State or territory
  Malpractice: Free liability protection with tail coverage provided
  Contract: No Physician Employment Contract and no significant restriction on moonlighting
  Work Schedule: There is no set work schedule. Services are rendered as needed and agreed with the facility.

Requirements

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Conditions of employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

Qualifications

To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation.

Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Degree of doctor of medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed.
• Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia.
• Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. ( NOTE : VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are:
  • (1) Those approved by the accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR
  • (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR
  • (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the Physician to an appropriate range of patient care experiences.
  • Exceptions:
    
    
    • Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs). PRPs must be fully licensed physicians (i.e., not a training license) and may only be appointed on an intermittent basis. PRPs are not considered independent practitioners and will not be privileged; rather, they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision. Additionally, surgery residents in gap years may also be appointed as PRPs.
    • In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer, who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action.
• Proficiency in spoken and written English.

Reference: For more information on this qualification standard, please visit

Physical Requirements: Moderate Lifting (15-25 lbs); Moderate Carrying (15-25lbs); Straight Pulling (up to 2-3 hours); Pushing (up to 2-3 hours); Reaching above shoulder; Walking (up to 1-2 hours); Kneeling(up to 1-2 hours); Repeated bending (up to 1-2 hours); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable; Far vision correctable; Depth perception; Ability to distinguish basic colors; Hearing (aid permitted).

Education

Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:

1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted.
2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted.
3. For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year graduated.

NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.